Individual
MRS. GINA MARIE MANDACINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.T.A.
Contact information
Practice address
10300 W 103RD ST, SUITE 300, OVERLAND PARK, KS 66214-2642
(913) 894-1910
(913) 894-1174
Mailing address
10300 W 103RD ST, SUITE 300, OVERLAND PARK, KS 66214-2642
(913) 894-1910
(913) 894-1174
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
117092
MO
225200000X
Physical Therapy Assistant
Primary
1400118
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117092
117092
MO
01
—
14-00118
14-00118
KS
Enumeration date
02/25/2007
Last updated
07/08/2007
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